Provider Demographics
NPI:1205950243
Name:BIGGINS, LEE ANNE (LCSW)
Entity type:Individual
Prefix:MS
First Name:LEE
Middle Name:ANNE
Last Name:BIGGINS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:312 CRESTWOOD DR
Mailing Address - Street 2:
Mailing Address - City:COLLINSVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62234-2310
Mailing Address - Country:US
Mailing Address - Phone:618-830-7569
Mailing Address - Fax:
Practice Address - Street 1:312 CRESTWOOD DR
Practice Address - Street 2:
Practice Address - City:COLLINSVILLE
Practice Address - State:IL
Practice Address - Zip Code:62234-2310
Practice Address - Country:US
Practice Address - Phone:618-830-7569
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical